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General NPI Number Information
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NPI Number | 1699949008
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Entity Type | Organization
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Legal Business Name | AURORA BRIGHT DENTAL
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 2003 MONTGOMERY RD SUITE 103
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City | AURORA
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State | IL
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Zip | 60504-9078
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Country | US
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Telephone | 630-375-0099
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Fax | 630-375-0037
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Provider Business Mailing Address
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Address Line | 2003 MONTGOMERY RD SUITE 103
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City | AURORA
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State | IL
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Zip | 60504-9078
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Country | US
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Telephone | 630-375-0099
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Fax | 630-375-0037
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YASMIN KANANI
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Credential | D.D.S.
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Telephone | 630-375-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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